A case of small intestinal GIST with GI bleeding which could be diagnosed by capsule endoscopy and single-balloon enteroscopy

Abstract

A 58 years old man was admitted with melena. Gastroscopy and colonoscopy couldn’t determine the source of bleeding. Capsule endoscopy demonstrates a submucosal tumor in jejunum. Single-balloon enteroscopy showed a submucosal tumor with active bleeding. Laparoscopy-assisted partial resection of small intestine was performed. Surgical resected specimens showed submucosal tumor with ulceration. Histopathologically, the tumor cells were spindle-shaped. Immunohistochemically, C-kit was positive so we finally diagnosed with small intestinal gastrointestinal stromal tumor (GIST) . This case suggest that patients with OGIB should be examined both by CE and BE.